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ERIKA SCHULZE NP
NPI 1043368475
Nurse Practitioner - Adult Health in Highland, IL

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
30 APEX DR, SUITE 2, HIGHLAND, IL 62249(618) 651-2727(618) 654-7905 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erika Schulze Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIKA SCHULZE NP (NPI 1043368475) is an individual adult health provider in Highland, Illinois, licensed in Illinois (209006180) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1043368475
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameERIKA SCHULZECredential: NP
Location Address30 APEX DR, SUITE 2Highland, IL 62249-1285
Mailing Address30 Apex Dr, Suite 2Highland, IL 62249-1285 · (618) 651-2727 · Fax (618) 654-7905
Phone(618) 651-2727
Fax(618) 654-7905
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 10, 2011
✔ NPI 1043368475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209006180
30 APEX DR, Highland, IL 62249
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN808300008IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erika Schulze Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769558691
PECOS Enrollment IDI20130528000013
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
159 services103 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FELIX FLORES UNGACTA MD
Orthopaedic Surgery
30 APEX DR, SUITE #1
HIGHLAND, IL 62249
Madison County (618) 654-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erika Schulze's NPI number?

The NPI number for Erika Schulze is 1043368475. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Erika Schulze located?

Erika Schulze practices at 30 Apex Dr Suite 2, Highland, IL 62249. The listed phone number is (618) 651-2727.

What is Erika Schulze's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Erika Schulze enrolled in Medicare?

Yes. Erika Schulze is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Erika Schulze accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company and WellPoint list Erika Schulze as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erika Schulze affiliated with any hospitals?

According to CMS data, Erika Schulze is affiliated with University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Erika Schulze was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.